Provider Demographics
NPI:1417970377
Name:ESQUENAZI, BENNY (MD)
Entity Type:Individual
Prefix:
First Name:BENNY
Middle Name:
Last Name:ESQUENAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10067 PINES BLVD
Mailing Address - Street 2:B
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6136
Mailing Address - Country:US
Mailing Address - Phone:954-430-7777
Mailing Address - Fax:954-430-3667
Practice Address - Street 1:10067 PINES BLVD
Practice Address - Street 2:B
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6136
Practice Address - Country:US
Practice Address - Phone:954-430-7777
Practice Address - Fax:954-430-3667
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96081207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL349455OtherSTAYWELL
FL349455OtherHEALTHEASE
FL276488100Medicaid
FL5404821OtherCIGNA
FL349455OtherWELLCARE
FLSG082351OtherVISTA
FL276488100Medicaid